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Have Kidney Stone, Sepsis And UTI. Colonoscopy Done Earlier. All Tests Done. Advised To Wait For The Results. What To Do Now?
Hi,A relative was admitted to hospital with kidney stone. Now has sepsis and UTI. Lab has had blood and urine samples for ~24 hours to see if UTI and sepsis are same. They want to wait to see if infections are the same before treating. He had a colonoscopy last Monday. My concern is possible peritonitis. They did a CT scan said no evidence of peritonitis.
Not sure how long labs should take to come back. If tomorrow will have been close to 36 hours. My concern is sepsis should be treated aggressively now, not wait to see if sepsis signature is same as UTI.
Your thoughts would be appreciated.
Not sure how long labs should take to come back. If tomorrow will have been close to 36 hours. My concern is sepsis should be treated aggressively now, not wait to see if sepsis signature is same as UTI.
Your thoughts would be appreciated.
Tue, 10 Sep 2013
Hello,
Thanks for the query to H.C.M. Forum.
Usually when we have no facility for culture & drug sensitivity test we treat the patient with broad spectrum antibiotics .
Just urine examination will find out the depth of infection .
If pus cells full filled may be severe infection.
If few pus cells 10-12 nothing to worry.
In peritonitis usually there develops swelling over abdomen with fever (high grade) and breathlessness .
If all these symptoms did not present then need not to worry.
In my opinion as your patient has renal stone , so stone in itself may cause infection and fever so consider this point.
Ultrasound abdomen will find out the real position of stone in kidney .
Good luck.
Dr. HET
Thanks for the query to H.C.M. Forum.
Usually when we have no facility for culture & drug sensitivity test we treat the patient with broad spectrum antibiotics .
Just urine examination will find out the depth of infection .
If pus cells full filled may be severe infection.
If few pus cells 10-12 nothing to worry.
In peritonitis usually there develops swelling over abdomen with fever (high grade) and breathlessness .
If all these symptoms did not present then need not to worry.
In my opinion as your patient has renal stone , so stone in itself may cause infection and fever so consider this point.
Ultrasound abdomen will find out the real position of stone in kidney .
Good luck.
Dr. HET
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